| NPI | 1730436759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 156017-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 156017-30) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 156017-30) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2023-04-21 |